Resnick R B, Jarolem K L, Sheskier S C, Desai P, Cisa J
Hospital for Joint Diseases-Orthopaedic Institute, New York, New York, USA.
Foot Ankle Int. 1995 Apr;16(4):212-5. doi: 10.1177/107110079501600409.
This article describes a patient with a 10-year history of persistent ankle pain. Differential diagnosis included osteoid osteoma and anterior ankle impingement. This patient subsequently underwent arthroscopic excision of a lesion on the talar neck following a complete radiographic work-up, which was nondiagnostic. The diagnosis of osteoid osteoma was finalized upon pathologic study of the arthroscopic shavings. The use of a motorized instrument for excision did not preclude pathologic evaluation of the specimen. Therefore, in an accessible location on the talar neck, arthroscopic excision of an osteoid osteoma can be performed.
本文描述了一名有10年持续性踝关节疼痛病史的患者。鉴别诊断包括骨样骨瘤和踝关节前部撞击症。在进行了全面的影像学检查但未得出诊断结果后,该患者随后接受了距骨颈病变的关节镜切除术。经关节镜刮除物的病理研究确定为骨样骨瘤。使用电动器械进行切除并不妨碍对标本进行病理评估。因此,在距骨颈易于操作的部位,可以进行骨样骨瘤的关节镜切除术。